Heidi Brianne Schultz, APSW, SAC-IT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130228 Issued in WI

Practice address

414 Broadway St
Suite 101
Baraboo, WI 53913-2488

Phone

(608) 402-4312

Fax

(608) 355-0459

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sauk CountyGroup PAC ID 7618931148, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sauk County

  • Skilled Nursing Facility
  • Reedsburg, WI
  • NPI 1528056819
  Medicare reassignment Care Compare group NPD
• Alchemy Behavioral Health

  • Clinical Social Worker
  • Cross Plains, WI
  • NPI 1700723095
  NPD Authorized official
• County of Sauk

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD
• Sauk County

  • Public Health or Welfare Agency
  • Baraboo, WI
  • NPI 1962535088
  NPD
• Tellurian, Inc.

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1104279330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1710424544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BROADWAY ST",
            "address_2": "SUITE 101",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132488",
            "telephone_number": "608-402-4312",
            "fax_number": "608-355-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BROADWAY ST",
            "address_2": "SUITE 101",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132488",
            "telephone_number": "608-402-4312",
            "fax_number": "608-355-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "HEIDI",
        "middle_name": "BRIANNE",
        "credential": "APSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17798",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bendorf Schertz, MS LMFT
• Melissa Elizabeth Schneiter
• School District of Baraboo
• Susan A Schuebel, DDS
• Brittany J Schultz, CNM
• Alexandra Marie Schwarz
• Seasons Counseling LLC
• Seasons Counseling, LLC
• James W Sehloff, MD
• Danny R Sessler, MD

• Clinical Social Worker in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.